Organization · Type 2 NPI

Waverley - Arkansas, Inc.

Skilled Nursing Facility · West Memphis, AR

NPI number 1174514616 Active

Practice location

610 S Avalon St
West Memphis, AR 72301-4109

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	374 (AR)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

11 other providers at this address

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NPI record

NPI: 1174514616
Entity type: Organization (Type 2)
Issued: Nov 3, 2005
Last updated: Mar 11, 2008
Status: Active
Subpart: Yes of Waverley-Arkansas, Inc.

Other names

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Health Care and Rehabilitation Center of West Memphis · doing business as

Authorized official

Mr. Chauncey R. Dunbar, CPA
Secretary / Treasurer
(601) 956-1576

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174514616

Waverley - Arkansas, Inc.'s National Provider Identifier is 1174514616, issued on Nov 3, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in West Memphis, AR. The record was last updated on Mar 11, 2008.